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KFF Tracker: America First MOU Bilateral Global Health Agreements

On September 18, 2025, the U.S. government released its new America First Global Health Strategy, which details how the U.S. will engage in global health efforts moving forward. As part of this new strategy, the U.S. has announced that it will be establishing bilateral health cooperation agreements with countries that receive U.S. global health assistance. This tracker provides an overview of Memorandums of Understanding (MOUs), between the U.S. and partner countries, signed to date. The tracker will be updated as needed.

KFF Health Tracking Poll: Public Views on Foreign Aid and Global Health Spending

The Trump Administration’s Latest Expansion of the Mexico City Policy: A Funding Analysis

The Mexico City Policy: An Explainer

Questions for the America First Global Health Strategy

selected resources

Global Health Aid Cuts

This collection of resources chronicles what recent Trump administration global health aid cuts mean for the future of global health programs and the people who rely on them.

A promotional image for the the KFF Health Policy 101 U.S. Government and Global Health

The U.S. Government and Global Health

In this Health Policy 101 chapter, investigate the U.S. role in global health, including the major initiatives the United States supports, funding levels, and agencies involved in implementing program area efforts.

the essentials

Global Health Trackers

U.S. Global Health Budget Tracker

This tracker provides regularly updated information on U.S. government funding for global health. It includes historical trends and tracks funding levels for U.S. global health efforts through bilateral and multilateral contributions and by program area and agency.

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  • HIV Policy Alignment with International Standards in PEPFAR Countries

    Issue Brief

    This issue brief assesses how the HIV policy landscapes in PEPFAR countries compare to international standards and recommendations. Additionally, we look at the HIV policy landscapes in PEPFAR countries as compared to peer countries. These comparisons are done at the overall, category, and policy indicator level.

  • Tracking U.S. COVID-19 Vaccine Donations

    Issue Brief

    This analysis assesses U.S. COVID-19 vaccine dose donations in order to gauge progress towards meeting stated global vaccination goals.

  • Tracking Global COVID-19 Vaccine Equity: An Update

    Issue Brief

    This updated analysis looks at global COVID-19 vaccination efforts by income-level and region to assess the equity gap in both vaccination coverage and rates of administration. Overall, we find that low-income countries and countries in Africa are lagging behind, and based on current rates, are unlikely to meet global vaccination targets.

  • As PEPFAR Nears its Two-Decade Mark, New Analysis Finds That Mortality Declined Substantially in PEPFAR Countries Over the Course of the Program

    News Release

    A new KFF analysis finds the President's Emergency Plan for AIDS Relief (PEPFAR) program was associated with large declines in mortality in PEPFAR recipient countries since its creation in 2003. The new analysis takes a closer look at PEPFAR’s health impact by assessing the all-cause mortality rate in 90 PEPFAR recipient countries compared to similar low-and middle-income countries. The all-cause mortality rate was 20% lower than expected had PEPFAR been absent. PEPFAR countries with higher…

  • Mapping the Donor Landscape in Global Health: Malaria

    Report

    This report maps the network of international assistance aimed at addressing the global impact of malaria. The report is part of a series that examines the donor nations and multilateral organizations involved in addressing different global health challenges in recipient countries worldwide.

  • U.S. Humanitarian Assistance and Global Health Policy: Opportunities and Barriers for More Effective Coordination

    Issue Brief

    This brief presents key findings from a Kaiser Family Foundation review and analysis of the policy and financing landscape where U.S. humanitarian assistance and global health assistance meet. It also summarizes a July 2013 roundtable discussion convened by the Foundation focusing on opportunities, challenges, and potential next steps for more effective coordination between humanitarian assistance and global health programs.

  • Few Americans Expect a Widespread Ebola Outbreak Here, But Some Are Worried They or a Family Member May Become Infected, New Poll Finds

    News Release

    Democrats, Republicans and Independents All Support Major U.S. Role Fighting Ebola in West Africa, About Equally, to Protect Americans and to Save Lives As the nation grapples with its first cases of Ebola transmitted in the U.S., a new Kaiser Family Foundation Tracking Poll finds that personal worry about Ebola is reasonably high, with 45% of the public saying they are worried that they or a family member will contract the disease. But most Americans…

  • Ebola: Five Key Questions

    Other Post

    Ebola virus has a unique set of characteristics that determine how and why its spreads, and how deadly it can be. To better understand Ebola, this infographic compares it to twelve other infectious diseases that continue to represent public health challenges today and asks and answers five key questions about the disease.